0000029332-17-000008.txt : 20170208 0000029332-17-000008.hdr.sgml : 20170208 20170208110747 ACCESSION NUMBER: 0000029332-17-000008 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170208 DATE AS OF CHANGE: 20170208 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DIXIE GROUP INC CENTRAL INDEX KEY: 0000029332 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 620183370 STATE OF INCORPORATION: TN FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-13451 FILM NUMBER: 17581373 BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 BUSINESS PHONE: 7068765814 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE YARNS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE MERCERIZING CO DATE OF NAME CHANGE: 19670524 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DIXIE GROUP INC CENTRAL INDEX KEY: 0000029332 STANDARD INDUSTRIAL CLASSIFICATION: CARPETS AND RUGS [2273] IRS NUMBER: 620183370 STATE OF INCORPORATION: TN FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 BUSINESS PHONE: 7068765814 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: DALTON STATE: GA ZIP: 30722 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE YARNS INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: DIXIE MERCERIZING CO DATE OF NAME CHANGE: 19670524 SC 13G/A 1 copyofroberteshaw2017.htm SC 13G/A Document



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G/A

Under the Securities and Exchange Act of 1934
(Amendment No. 7)

DIXIE GROUP, INC.
(Name of Issuer)

Common Stock
(Title of Class Securities)

255519100
(CUSIP Number)

December 31, 2016
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o
Rule 13d-1(b)
þ
Rule 13-d-1(c)
o
Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).


CUSIP No.
255519100
 
 
 
 
1.
Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
 
 
Robert E. Shaw
 
2.
Check the Appropriate Box if a Member of a Group
 
(a)
o
 
(b)
o
 
 
 
 
3.
SEC Use Only
 
4.
Citizenship or Place of Organization
 
 
Georgia, United States
 



1


Number of Shares Beneficially Owned by Each Reporting Person With:
5.
Sole Voting Power
—
6.
Shared Voting Power
1,125,000
7.
Sole Dispositive Power
—
8.
Shared Dispositive Power
1,125,000
 
 
9.
Aggregate Amount Beneficially Owned by Each Reporting Person
1,125,000
10.
Check if the Aggregate Amount in Row (9) Excludes Certain Shares
o
11.
Percent of Class Represented by Amount in Row (9)
8.5%
12.
Type of Reporting Person
 
 
IN
 

Item 1.
 
 
 
(a)
Name of Issuer: The Dixie Group, Inc.
 
(b)
Address of issuer's principal executive offices:
 
 
475 Reed Road
Dalton, GA 30720
Item 2
 
 
 
(a)
Name of Person Filing: Robert E. Shaw
 
(b)
Address of Principal Business Office:
 
 
114 N. Pentz Street
Dalton, GA 30720
 
(c)
Citizenship: United States
 
(d)
Title of Class of Securities: Common Stock
 
(e)
CUSIP Number: 255519100
 
 
 
Item 3.
If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
 
o
Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o);
 
o
Bank as defined in Section 3 (a) (6) of the Act (15 U.S.C. 78c);
 
o
Insurance company as defined in Section 3 (a) (19) of the Act (15 U.S.C. 78c);
 
o
Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
 
o
An investment adviser in accordance with §240.13d-1 (b) (1) (ii) (E);
 
o
An employee benefit plan or endowment fund in accordance with §240.13d-1 (b) (1) (ii) (F);
 
o
A parent holding company or control person in accordance with §240.13d-1 (b) (1) (ii) (G);
 
o
A savings association as defined in Section 3 (b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
 
o
A church plan that is excluded from the definition of an investment company under section 3 (c) (14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
 
o
Group, in accordance with §240.13d-1 (b) (1) (ii) (J).
 
 
Item 4.
Ownership
 
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
 
(a)
Amount beneficially owned: 1,125,000
 
(b)
Percent of class: 8.5%
 
(c)
Number of shares as to which the person has:
 
(i)
Sole power to vote or to direct the vote: 0
 
(ii)
Shared power to vote or to direct the vote:1,125,000
 
(iii)
Sole power to dispose or to direct the disposition of: 0
 
(iv)
Shared power to dispose or to direct the disposition of: 1,125,000

2


 
 
Item 5.
Ownership of Five Percent or Less of a Class
 
Not applicable
 
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person
 
Not applicable
 
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company
 
Not applicable
 
 
Item 8.
Identification and Classification of Members of the Group
 
Shares are held by the Anna Sue and Robert Shaw Foundation but still voted by Robert Shaw.
 
 
Item 9.
Notice of Dissolution of Group
 
Not applicable
 
 
Item 10.
Certification
 
The following certification shall be included if the statement is filed pursuant to Section 240.13d-1(c):
 
(a)
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose of effect.


SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Date:
February 8, 2017
 
 
Signature:
/s/ Robert E. Shaw
 
 
Name/Title:
Robert E. Shaw



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